C Y P E R U S . 1 8

General Activities
disperse qi, moisture, and phlegm; sedate shen

Sample Indications for Use
depression, anxiety, insomnia, alcoholism, hypertension, persisting bronchitis

To Personalise, Add
Fu shen 16, Albizzia 9, or Acorus Tablets for insomnia and agitation
Shen chu 16 for accumulation of phlegm as a result of weak food digestion
Bupleurum 12 for aching and tension in the muscles with digestive disorder
Blue Citrus Tablets for lumps in the neck, breast, or groin
Angelica 14 for headache due to stress
Ardisia 16 for drug and alcohol addiction

This formula is designed for long-term administration; herbs (and drugs) used to treat depression often require 4-6 weeks regular use to produce desired effects.

Manufacturing Specifications
Crude herbs are powdered and formed into 700 mg tablets. Bottling of 100 and 250 tablets.

Explanatory Notes
Cyperus 18 is derived from Bamboo and Ginseng Combination (Zhuru Wendan Tang). The traditional prescription disperses stagnant qi and conducts out accumulated phlegm; it is used for cases of chronic mental distress, such as depression, anxiety, irritability, restlessness, and these are the indications for Cyperus 18 as well. Qi stagnation arises from excesses of the emotions, which then yield a physiological imbalance that perpetuates emotional distress. Phlegm accumulation solidifies the pattern so that is becomes difficult to treat. In Cyperus 18, bupleurum, cyperus, perilla leaf, saussurea, and citrus materials (aurantium and chih shih) disperse stagnated qi; the citrus materials with bamboo sap, pinellia, and arisaema conduct out phlegm (see: Arisaema 10). The formula has some sedative herbs, including uncaria, ginseng, fu shen, coptis, and ophiopogon, to calm the internal agitation of liver and heart. This formula is often selected for treatment of depression, but is suitable for a wide range of distress disorders that are based on the qi and phlegm pattern described here. As examples, it could also be applied to treating persisting lung disease with chronic production of mucus (see Pinellia 16), effects of alcoholism or drug addiction, and/or insomnia, where phlegm accumulation and liver-qi stagnation are the underlying pattern. Other formulas to consider for depression include Albizzia 9, Ardisia 16, Salvia Amber Tablets, and Nuphar 14, each of which fits a different pattern of disharmony.

Ingredients
English
Cyperus, Perilla leaf, Bamboo sap, Uncaria, Saussurea, Bupleurum, Aurantium, Fu shen, Pinellia, Chih shih, Coptis, Ginseng, Ophiopogon, Tang kuei, Cnidium, Ginger, Arisaema, Licorice
Pin Yin
xiangfuzi, zisuye, zhuli, gouteng, muxiang, chaihu, juhong, fushen, banxia, zhishi, huanglian, renshen, maimendong, danggui, chuanxiong, ganjiang, tiannanxing, gancao